Healthcare Provider Details

I. General information

NPI: 1740738764
Provider Name (Legal Business Name): DANIEL GEBHARDT PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2016
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MEDICAL CENTER ROAD
FORT HOOD TX
76544
US

IV. Provider business mailing address

590 MEDICAL CENTER ROAD
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: